Devang Vinaykant Shah, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013630 Issued in GA

Practice address

5455 McGinnis Village Place
Suite 103
Alpharetta, GA 30005-2648

Phone

(770) 751-1500

Fax

(770) 751-1508

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dentecare Dental LLC

  dba Dental Smiles at Johns Creek

  • Dentist
  • Alpharetta, GA
  • NPI 1033665732
  NPD (past) Authorized official
• Johns Creek Dental Studio PC

  • Dental Clinic/Center
  • Alpharetta, GA
  • NPI 1649867011
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1053472613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 MCGINNIS VILLAGE PLACE",
            "address_2": "SUITE 103",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052648",
            "telephone_number": "770-751-1500",
            "fax_number": "770-751-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 MCGINNIS VILLAGE PLACE",
            "address_2": "SUITE 103",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052648",
            "telephone_number": "770-751-1500",
            "fax_number": "770-751-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEVANG",
        "middle_name": "VINAYKANT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411757",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013630",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036872",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmett Glenn Shaffer, ED.D.
• Steven Shaffer, D.C.
• Aastha Paresh Shah
• Anand K Shah, M.D.
• Birgit Shah, FNP
• Shruti Ashvin Shah, DMD
• Umang S Shah, PHARMACIST
• Savitha Shama, M.D.
• Colton Shanahan
• Shirley Shani Ben Zvi, MA, CT, AMFT

• General Practice Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.